Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelley Vincent Jefferson, MD

Individual provider Pediatrics Physician · NPI 1154398105

Kelley Vincent Jefferson, MD is a Pediatrics Physician in Columbia, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1224 Trotwood Ave
Columbia, TN 38401-4802
Phone: (931) 359-4506
Fax: (931) 490-7043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 37199 (TN)
Pediatrics Physician Taxonomy 208000000X · Licence MD37199 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD37199 (TN)

Record details

NPI number1154398105
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 8, 2006
Last updated in NPPESJanuary 9, 2024

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